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14D2151362 CLIA NUMBER - MIDWESTERN UNIVERSITY EYE INSTITUTE DOWNERS GROVE

Laboratory Demographics

CLIA Number: 14D2151362

Facility Name: MIDWESTERN UNIVERSITY EYE INSTITUTE DOWNERS GROVE

Facility Address:
3450 LACEY RD
DOWNERS GROVE, IL
ZIP 60515
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Facility Phone Number: 630 743-4613

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1639610942

Taxonomy: 122300000X - Dentist
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

CLIA Record

Field Name Field Value
CLIA Number 14D2151362
LAB Type Physician Office
Facility Name MIDWESTERN UNIVERSITY EYE INSTITUTE DOWNERS GROVE
Street 3450 LACEY RD
City DOWNERS GROVE
State IL
ZIP 60515
Phone 630 743-4613
CertificateType 4
CertificateEffectiveDate 7/17/2022
CertificateExpirationDate 7/16/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024